Welcome to Standard Chartered Bank Credit Card Application Form.
To apply for the Card, please complete the information below.
For information on document requirements, click here.
.: Personal Information :.
* Full Name:
* Gender: Male  Female
* Date of Birth: 
* City of Residence:
* E-mail Address:
* Contact Number:   Home (eg. 021 xxxxxxxx)
(eg. 021 xxxxxxxx) -  (Ext.)
(eg. 08xxxxxxxxx)
  Office
* Handphone
*Occupation:
* Annual Gross Income: Rp. (eg. 35000000)
 
.: Choice of Credit Card :.
* I wish to apply for:
 

* mandatory fields
For further information on Standard Chartered Bank Credit Card, call us at (021) 57 9999 88 or 68000 from cellular phone.
To see details of our sales center location and hotline, click here.
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  2. This application is subject to the Bank's approval. The Bank shall be entitled at its sole discretion to decline an application without furnishing any reason and to retain all supporting documents submitted for the processing of this application.
It is essential that you do not take into consideration or respond to any information on this site or send any information or materials to us before you read this Important Legal Notice and our Data Protection and Privacy Policy.

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